Johnson, James S
Johnson, James S is an sole proprietor health care provider with primary practice located at 4147 Highway 127 N Ste 102 , Crossville TN 38571-7521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, James S can be contacted via phone (931) 484-2220.Contact Information
Primary practice address
4147 Highway 127 N Ste 102
Crossville TN 38571-7521
Phone: (931) 484-2220
Fax: (931) 484-2225
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD30511 | Tennessee |
Profile Details
NPI number | 1851357578 |
---|---|
LBN Legal business name | Johnson, James S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 21st, 2006 |
Last updated | Apr 2nd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851357578 | NPPES |
Tennessee | MEDICAID | 3806366 |
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